悬吊运动系统训练激活腹横肌治疗产后腰痛的临床研究

Clinical study on postpartum low back pain by activating transverse abdominal muscles under sling exercise therapy system

目的观察悬吊运动(SET)系统下激活腹横肌治疗产后腰痛的疗效。方法将100例产后腰痛患者随机分为2组,推拿组49例患者采用传统推拿方法,SET组51例患者采用SET系统训练。治疗前后分别使用日本骨科学会评分系统(JOA)、Oswestry功能障碍指数评分和视觉模拟评分法(VAS)对患者腰椎功能及疼痛情况进行评定。随访3、6个月后,再次对患者的康复情况进行评估。结果治疗后,2组JOA评分、VAS评分、Oswestry评分均较治疗前改善,差异有统计学意义(P<0.05);SET组疗效优于推拿组,差异有统计学意义(P<0.05)。随访3、6个月后,2组总有效率比较,差异有统计学意义(P<0.05)。SET组出组3例,无效4例,复发6例。推拿组出组4例,无效7例,复发18例。结论SET系统训练下激活腹横肌治疗产后腰痛优于传统推拿治疗。

Objective To observe the therapeutic effect of postpartum low back pain by activating transverse abdominal muscles under sling exercise therapy(SET)system.Methods A total of100 patients with postpartum low back pain were collected and randomly divided into two groups,a total of 49 cases in the massage group used traditional massage method,and 51 cases in the SET group used SET system.Before and after treatment,the scores of Japanese Orthopaedic Association Scoring System(JOA),Oswestry Disability Index,and Visual Analogue Scale(VAS)were used to assess the patient’s function of lumbar vertebrae and pain.The patients were followed up after 3 and 6 months,and the rehabilitation conditions were assessed again.Results After treatment,the JOA score,VAS score and Oswestry score of the two groups were significantly improved compared with before treatment(P<0.05).Compared with the massage group,the SET group had better clinical efficacy(P<0.05).After 3 and 6 months of follow-up,the total effective rates of the two groups showed statistically significant differences(P<0.05).The SET group and the massage group had 3 and 4 patients out of the study,4 and 7 cases with no responding to the treatment,and 6 and 18 relapsed patients.Conclusion Activating transverse abdominal muscles under SET system is better than traditional massage treatment for postpartum low back pain.